Document Detail

Reduced pain after surgery for cervical disc protrusion/stenosis: a 2 year clinical follow-up.
MedLine Citation:
PMID:  12944158     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To follow the clinical outcome after surgery for cervical radiculopathy caused by degenerative cervical disc disease and to compare it with the outcome after conservative treatment. METHOD: Forty-three patients all awaiting surgery were studied prospectively. A control group of 39 conservatively treated patients were chosen, matched for gender and age. All patients rated their Sickness Impact Profile (SIP) and pain (VAS) and were clinically examined by unbiased observers initially and after 3, 9 and 24 months. RESULTS: Long-lasting pain reduction was noted both in the neck and in the arm for the operated patients, as well as improved sensory function and reduction of reflex disturbances. Their SIP showed a temporary improvement in the overall index, in the psychosocial dimension, in sleep/rest and home management, but only mobility remained improved. Among the operated patients referred directly to us, there was an improvement in SIP at the final follow-up. The control group's SIP indicated only a temporary improvement in sleep/rest. CONCLUSIONS: Surgically treated patients experienced pain reduction which was partially maintained for at least 24 months. A sustained improvement in the health status measured by SIP was observed only among operated patients that were not referred via the social insurance offices.
H Löfgren; F Johansen; O Skogar; B Levander
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Disability and rehabilitation     Volume:  25     ISSN:  0963-8288     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-08-28     Completed Date:  2004-03-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  1033-43     Citation Subset:  IM    
Department Neuro-Orthopedic Surgery, Ryhov Hospital, Jönköping, Sweden.
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MeSH Terms
Case-Control Studies
Cervical Vertebrae
Middle Aged
Neck Pain / etiology,  therapy*
Outcome Assessment (Health Care)
Pain Measurement
Pain, Intractable / etiology,  therapy*
Prospective Studies
Radiculopathy / etiology,  therapy*
Referral and Consultation
Regression Analysis
Sex Factors
Sickness Impact Profile*
Spinal Cord Diseases / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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